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040-240-048
ERNEST GARNER 239 Florida Ln., Durham Permit 1799-73B �a 7/1 (demolish hse.)� 7" 040=240-048_ PERMIT#96-0927 BENNETT, Suzanne- 2351 uzanne ` 2351 Florida Ln., Durham Cont; Jerry MH Service rG Mobilehome UtilitiesLECTRIC 0d AS LINE 3/y COMPACTION TEST REQ ___/ o� SUPPORT STRUCT REQ n( 0 040-240-0.48 PERMIT#96-1484 BENNETT, Suzanne 2351'FloridA Ln.;'Durham Cont; Jerry's MH Service Mobilehome Installation 040-240-048. PERMIT#97-1328. BENNETT, Suzanne M. 2351 Florida Ln-, Durham Cov Deck/MH B06-2449 040-240-048 RESIDENTIAL SFD-Mobile Home PFS MH PERM FND EX SITE 2351 FLORIDA LN BENNETT, SUZANNE M . /0 Ta/p 6 a 14 0 .. 1 3 CM `1- RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records I County of I Butte I CAWXE J. GRi1BBS I County Cleric-Recorderl I 1 0126M 20-I1ct-2006 1 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY REC FEE 10.00 CCWOR*-D COPY 1.00 CP Page 1 of 2 NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BENNETT, SUZANNE M BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY P O BOX 983 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS DURHAM BUTTE CA 95938 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 2351 FLORIDA LN B06-2449 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER DURHAM BUTTE CA 95938 10/20/06 CITY COUNTY STATE ZIP SI NATURE OF LOC49AOENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION KAUFMAN/BROAD HOMES 1988 BAYWOOD II MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER KBCASNA/B88321389 24X48 PFS 159759/60 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 040-240-048 HCD FORM 433(A) REV 8/91 WHITE — County Recorder CANARY — HCD PINK — Applicant GOLDENROD — Building Dept. Order No. 2-171647 Exhibit "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: Lot 9, as shown on that certain Map entitled, "Official Map of the Second McAnarlin Tract, being part of Lot 1 of Franklin Sub.", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on December 3, 1926 in Book A of Maps, at page 18. EXCEPTING THEREFROM the following described parcel of land: COMMENCING at a point at the center of the line between Lots 8 and 9 and extending Northerly to the Northeast corner of Lot 9; thence Westerly along the South line of Florida Lane, a distance of 10 feet; thence, Southerly to a point of beginning. AP No. 040-240-048 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2449 Issued: 10/17/2006 Address: 2351 FLORIDA LN DURHAM APN: 040-240-048 Permit Subtype: SFD-Mobile Home Owner: BENNETT, SUZANNE M Applicant: CHICO MOBILE HOME SPECIALIST Description: MH PERM FND EX SITE MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set ac s 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical , 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 04 Project Final 801 b PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy COUNTY OF BUTTE " " ` . t BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2351 FLORIDA LN APN: 040-240-048 j�1Ad1,t, � C P, Owner: BENNETT, SUZANNE M Permit No: B06-2449 Permit type: RESIDENTIAL VVs� P O BOX 983 Issued Date: 10/17/2006 By TMP Subtype: SFD-Mobile Home PFS DURHAM, CA 95938 Expiration Date: 10/17/2007 Description: MH PERM FND EX SITE (530) 898-1966 Occupancy: R-3 Zoning: R3 Contractor Applicant: Square Footage: CHICO MOBILE HOME SPECIALIST CHICO MOBILE HOME SPEC Building Garage Remdl/Addn P.O. BOX 4121 P.O. BOX 4121 1,152 CHICO, CA 95927 CHICO, CA 95927 (530)895-1774 (530)895-1774 Other Porch/Patio Total 1,152 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B538 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires CHICO MOBILE HOME SPECT/ 445103 C-47 / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HER AF DER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commenci with Se n 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) n full fo ce d effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 10/17/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contr or's SI a ure Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License W RKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR 11 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ Section 3700 of the Labor Code, for the ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier: Policy Number: Exp. Date: Contractor's License Law.). (This ction need not a completed if the permit is or one a hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' ' 'ons X 10/17/2006 compensatio of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date p visions. X 1 /2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, Signature Date WARNING: AILUR TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for AND SHA SUBJ CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOU AND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, personal injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGE AS P OVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORN'S FEES. EY ty to enter the above mentioned property for inspection purposes. I hereby certify that I am the rty owner or am autppriaed to act on the property owner's behalf. eG2d� S 10/17/2006 0ameof CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Permittee [SIGN] int Date the performance of the work for which this permit is issued. (3097 civ, code) ❑ Owner ontmctor OR. Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds P�'YMEjVi, r cfc w��g National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B06-2449 Location: 2351 FLORIDA LN Parcel Number: 040-240-048 Owner Name: BENNETT, SUZANNE M Description: MH PERM FND EX SITE Date: 10/17/2006 By: TMP D O O i Sub Type: SFD-Mobile Home PI Phone: (530)898-1966 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: - Title: m e-%4- FILE Date: 10/17/2006 Butte County Department of Development Services TIM SNELLWGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://municiDalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2449 Location: 2351 FLORIDA LN Parcel Number: 040-240-048 Owner Name: BENNETT, SUZANNE M Description: MH PERM FND EX SITE Signature of Property Ownei Date: 10/17/2006 Phone: (530) 898-1966 Date: 10/17/2006 BUTTE COUNTY o�vTTF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION 0 p AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o '" _ = o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Name Last Name Address irst Name e" City Mailing Address o , f 0 TJ J lip -5-9.z 7 City _ y State Zip Q o Phone _ Fax E-mail APPLICANT INFORMATION CONTRACTOR Name ! L U Address f> Ox iZ City Fax State lip -5-9.z 7 Phone _ y Fax �.� 44 E-mail Planner Lic. # '-1Y5-,1q_3 Clash y� APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail II\ /_ \APPLICANT SIGNATURE I For office use only: Zoning Prop rt� d ess cq /C �/ Flood Zone Cross Street O j05`Gtd9 SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT 6- z�fiq BIN # PROJECT LOCATION A o o - © ago, Prop rt� d ess cq /C �/ Cross Street O j05`Gtd9 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or SCOpe of Work: X -{- Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b Amount: v ' , ` V Bldg SRA Receipt #: Sheriff Zl SMIP 15 Other Date: Total m Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering B ()lo -Z410? BUTTE COUNTY BUILDING DIVISIM Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM IMALTH AND SAFETY CODE. SECTION 18531 APPROVED 6UDAWT TO CORRECTIONS N07ED A"ROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF A"LICABLB STATE LAWS AND REGULATIONS Std of California Dww"aw add -4 Commaft Dgftkpnwd AND STANDARDS Page 1 of 8 0 LO .................................................... 0 0 � o Xi2 Foundation System Installation Instructions for California for Ground B Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep.®> Alm, * Xi2 components exceed HUD code 3280.3068 Anchoring equipment exposed to weath4ring shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LO TIE DOWN ENGINEERING. o Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) U -Bolt & mounting Figure 1 Bracket rnd e No�1 e Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. TIE DOWN-` ENGINEERING Nut & Washer - 1-3/4„ Tube J -Bolt Strut Lateral Struts (flag end) 1-112” Tube 4-#12x1" Tek Screws y TBeam 1 Figure 2 U -Bolt & mounting Figure 1 Bracket rnd e No�1 e Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. TIE DOWN-` ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" ® o W Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems ®> Al""' Page 4 of 8 Installation of Xi2 Concrete Systems i . iaentity the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove arm„ lack._ � 11. Tighten all nuts and bolts on system. X�. SPA- lar - Page 5 of 8 m 0 Ld ►� o 0 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 I Nut & Washer IMBeam Clamp Bracket Lateral Xi2 Installation Placement ®o ftv Longitudinal Strut Concrete Longitudinal Hardware Kit TIE DOWN. ENGINEERING • Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Hardware Breakdown #59331 Longitudinal Hardware for 59306 :.r #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 59272-2 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc e;P4 Page 8 of 8 RECORDINUREQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 20 -Qct -2006 2006-0055130 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BENNETT, SUZANNE M BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY P O BOX 983 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS DURHAM BUTTE CA 95938 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 2351 FLORIDA IN B06-2449 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER DURHAM BUTTE CA 95938 10/20/06 CITY COUNTY STATE ZIP SI NATURE OF LOC4WAdENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION KAUFMAN/BROAD HOMES 1988 BAYWOOD II MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAME/NUMBER KBCASNA/B88321389 24X48 PFS 159759/60 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 040-240-048 SEE ATTACHED COPY HCD FORM 433(A) REV 8/91 Order No. 2-171647 Exhibit "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte,. State of California, described as follows: Lot 9, as shown on that certain Map entitled, "Official Map of the Second McAnarlin Tract, being part of Lot 1 of Franklin Sub.", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on December 3, 1926 in Book A of Maps, at page 18. EXCEPTING THEREFROM the following described parcel of land: COMMENCING at a point at the center of the line between Lots 8 and 9 and extending Northerly to the Northeast corner*of Lot 9; thence Westerly along the South line of Florida Lane, a distance of 10 feet; thence, Southerly to a point of beginning. AP No. 040-240-048 CHICO MOBILE HOME SPECIALIST LIC. NO. 445103 P.O. 80X.4121 (530) 895-1774 CHICO, CA: 95927 PAY �Ro. DATE TO THE ORDER OF AMO/ TRI COUNTIES BANK - 1-800-922-8742 Ile OAS�.2211" 1:12LL3SO4SI: 2910 INVOICE AMOUNT. 90-3504/1211 DOLLARS DISC NET DESCRIPTION AMOUNT ` BUILDING PERMIT NUMBER: B06-2449 Address or location of unit: 2351 FLORIDA LN DURHAM CA 95938 Legal Description of Real Property: 040-240-048 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: BENNETT, SUZANNE M Owner's address: ' P O BOX 983 DURHAM CA 95938 INSIGNIA OR HUD NUMBER: PFS159759/60 SERIAL NUMBER OR V.I.N.: KBCASNA/B88321389 MANUFACTURER'S NAME: KAUFMAN/BROAD HOMES YEAR: 1988 OFFICIAL APPROVING INSTALLATION: /Ixv r U ' DATE: /C), PHONE: (530) 538-7541 H.C.D. 513 STATE OF CALIFORNIA- OEPARTME REGISTRATION MANUFACTURER NAME/ID TRADE NAME ,KAUFMAN/BROAD HOMES/09578. BAYWOOD II U SERIAL NI i KOCASH888321389 2 KBCASNA88321389 3 a s s a BENNETT SUE D PO BX 983 D DURHAM CA 95938 i � R S � E LABEL/INSIGNIA NUMBER PFS159759 PFS159760 E �Y DEVELOPMENT P DECAL NO. LAK637aDFS 7PC=XPI02/09/88 02/16/88 ...! 0168501 000512 1000160 TOTAL FEES PAID: $53.00 *` Ow 3 �% • 9 . o dAft L LYLE S BENNETT%�, 1 i r�`c'3 E MARIAN E BENNETT TRUSTEES jj` G N£ �s `x y? erre �R ti �� A PO BX 311 I tt g I i zR r�4t k UNION o DURHAM CA 95938���� " w DATE: 02/15/4, 09:22:00: i �� � { a s UF a N I # K w Z R O S R T L Z ' E " N S H E O C L O D N E D R EXEMPT. IS FU E IMPORTANTQ3-113-00691 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL -LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. I THE CURRENT.TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.* 0300134., / R BENNETT SUES I A AP 40 24 48 s I. T L E DURHAM �C 95938 Es o s .2920 CLARK RDSPfD2>°F W I n E U OROVILLE CA 95965 ,>-^ R S :..... E �Y DEVELOPMENT P DECAL NO. LAK637aDFS 7PC=XPI02/09/88 02/16/88 ...! 0168501 000512 1000160 TOTAL FEES PAID: $53.00 *` Ow 3 �% • 9 . o dAft L LYLE S BENNETT%�, 1 i r�`c'3 E MARIAN E BENNETT TRUSTEES jj` G N£ �s `x y? erre �R ti �� A PO BX 311 I tt g I i zR r�4t k UNION o DURHAM CA 95938���� " w DATE: 02/15/4, 09:22:00: i �� � { a s UF a N I # K w Z R O S R T L Z ' E " N S H E O C L O D N E D R EXEMPT. IS FU E IMPORTANTQ3-113-00691 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL -LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. I THE CURRENT.TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.* 0300134., / AP« oao-024-ods Gr.THIS FORM FURN CROW COMPANYWA _ x The undersigned grantor(s) declare(�l Documentary transfer tax is $ 319•$0 Y' yr ( )7computed on full value of property conveyed, or ) 11 ( )computed on full value of liens and encumbrances remaining at time of sale. ( )Xnincorporated arca: ( ) u Arxxzperated axaa and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BARW D. IIS I -rd JZT M WINERUM, TruStees Of 7M BARRY' D. WIIW-rCIii 'IFUT dated ALVust 2 1984 hercby,GRANT(S) to SUZAIE M• �TT• a single tltrattan a€ the following described real property in the unircarporated area County of ButbB State of California: ( See Legal Description, attached as Exhibit "A") Y Winemtlz trustee Judith A. Wineroth, tnabee --Qf—The TV-►rry L_ W�_rct Trust.,-xLzted_Ai gust 2, 19 A State of California County of _Butte_ SS. _ On JJ-LV-9�&_.' 3�� T. inc, the undersigned, a Notary Public in and for said State perumully appeared Barry? DWinp -rrth ind .Tiylit-h A- Winernth (This arta for official notarial seal) per:sonxlly known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose nrtrnc(s) Ware srlbscribed to the within instrument and acknowledged to me that Wshehhey executed the sane in his/hahheir autlxxized capaeity(iC-0. and that by his/hcrhhr_ir signaturr(s) on the instniment the per-on(s) or tlx: entity tr(t(trt behalf of which the pemul(s) acted exect 1 stniment InyISivnaltir( ../ % 1) 1 rl•/n11,��C�i. -� •r:•all•runrunnuunnln'rlrlrnlltlnuunuonumml• c i. y •c:'.�" (err ICUL':EAL ! Y� •,,r. -q. D A. WIENS :0 �•��� / n 7Anr oUnl rc - CALr10RN1A r+ �` ...r.✓ eputvl♦ pI MIJTt■ N ''ry i n.n rn l..rnn C•plr.. RR•r�h ?A, 10114 tJ - s I•rll: l:;I rrll: tt:lllr rl............ lrllllllll lrrlr:Irl rrllrtlltfrr; :'j i. r i•k� sl _t{c i Y t cis ESTED BYOrder ,5. 40378 - ----- EQ CW CO. 0 2-171647 -VOW 95--0403781 Rec Fee 9.00 K;a' 1 DOC 38.30 AND WHEN RECORDED MAIL TO Recorded I Chenk 47.50 h••�I Suzatm�'•-. M. 9enrett Official Records I P.O. Box 983 County of Durham, CA. 95938 Butte Candace J. Grubbs I Recorder 8s00am 15-Hov-93 1 BWTC HD 2 AP« oao-024-ods Gr.THIS FORM FURN CROW COMPANYWA _ x The undersigned grantor(s) declare(�l Documentary transfer tax is $ 319•$0 Y' yr ( )7computed on full value of property conveyed, or ) 11 ( )computed on full value of liens and encumbrances remaining at time of sale. ( )Xnincorporated arca: ( ) u Arxxzperated axaa and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BARW D. IIS I -rd JZT M WINERUM, TruStees Of 7M BARRY' D. WIIW-rCIii 'IFUT dated ALVust 2 1984 hercby,GRANT(S) to SUZAIE M• �TT• a single tltrattan a€ the following described real property in the unircarporated area County of ButbB State of California: ( See Legal Description, attached as Exhibit "A") Y Winemtlz trustee Judith A. Wineroth, tnabee --Qf—The TV-►rry L_ W�_rct Trust.,-xLzted_Ai gust 2, 19 A State of California County of _Butte_ SS. _ On JJ-LV-9�&_.' 3�� T. inc, the undersigned, a Notary Public in and for said State perumully appeared Barry? DWinp -rrth ind .Tiylit-h A- Winernth (This arta for official notarial seal) per:sonxlly known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose nrtrnc(s) Ware srlbscribed to the within instrument and acknowledged to me that Wshehhey executed the sane in his/hahheir autlxxized capaeity(iC-0. and that by his/hcrhhr_ir signaturr(s) on the instniment the per-on(s) or tlx: entity tr(t(trt behalf of which the pemul(s) acted exect 1 stniment InyISivnaltir( ../ % 1) 1 rl•/n11,��C�i. -� •r:•all•runrunnuunnln'rlrlrnlltlnuunuonumml• c i. y •c:'.�" (err ICUL':EAL ! Y� •,,r. -q. D A. WIENS :0 �•��� / n 7Anr oUnl rc - CALr10RN1A r+ �` ...r.✓ eputvl♦ pI MIJTt■ N ''ry i n.n rn l..rnn C•plr.. RR•r�h ?A, 10114 tJ - s I•rll: l:;I rrll: tt:lllr rl............ lrllllllll lrrlr:Irl rrllrtlltfrr; :'j RECORDING REQUESTED BY AB WEL TITLE & ESCM1 00. Order # . 2-171647 -VDW AND WHEN RECORDED MAIL TO Susan M. Bennett AP# 040-024- 010 SPACE ABOVE THIS LINE FOR RECORDER'S USE EASEMENT Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(0- Documentary transfer tax is $ —0— consideration less than $100. ( )computed on full value of property conveyed, or ( ) computed on full value of liens and encumbrances remaining at time of sale. { )XJnincorporated area: ( ) unim=Pprated area ,and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BARRY D. WINEROM c-od jUDITH A. WINEROTfi, Trustees Of THE BAMY D. WINEF iH TILT, dated August 2, 1984 hereby GRANT(S) to SIGN M. BENN Tr, the following described real property in the.. umitc7porated area.:: County of Butte State'of California: '(See Legal --Description, Exhibit "A" r attached hereto and made a part' hereof ) Dated: Nm tuber 6, 1995 FmFN w5l_ WjA State of California County of Btit e I SS. Onll/10/95 & 11/13/9 rp r-+- —, �-,qMC —before me, the undersigned, a Notary Public in and for said State personally appeared Rar =z n Wi narnth Anrl Tnr9i th D Wi Harr,+ h ` (This area for official notarial !sea]) personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within .51:11:111:1 its. instrument and acknowledged to me that he/she/they executed the same in �%-' OFFICIAL SEAL his/her/their authorized capacity(ies), and that by his/hedtheir signature(s) epi '� 056264 on the instrument the person(s) or the entity upon behalf of which the V. A. w1ENs NOTARY COUNTY -CALIFORNIA person(s) acWexece lILStrlmenL COUNTY OF BUTTHWITNESS seal. my Commission Expires March 29, 1996. iilililiitnitlililllt1111t11llifttUillllllllltlllllltl11111it11,11113ui0 Signature lenMAIL TAX STATEMENTS TO 0�as abom) BTE•DED•os (2500 5/95) Order No. 2-171647 Exhibit "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: Lot 9, as shown on that certain Map entitled, "Official Map of the Second McAnarlin Tract, being part of Lot 1 of Franklin Sub.", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on December 3, 1926 in Book A of Maps, at page 18. EXCEPTING THEREFROM the following described parcel of land: COMMENCING at a point at the center of the line between Lots 8 and 9 and extending Northerly to the Northeast corner of Lot 9; thence Westerly along the South line of Florida Lane, a distance of 10 feet; thence, Southerly to a point of beginning. AP No. 040-240-048 Easement Deed-- Legal Description EXHIBIT "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: An encroachment easement for an existing garage and maintenance thereto, and an easement for ingress and egress over and across the following described portion of Lot 10, as shown on that certain Map entitled, "Official Map of the Second McAnarlin Tract, being part of Lot 1 of Franklin Sub.", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on December 3, 1926'in Book A of Maps, at page 18. Beginning at the Southwest corner of Lot 9 of said Second McAnarlin Tract herein above referred to, thence Northerly along the Westerly line of said Lot 9 and the Easterly line of Lot 10 to the Northwest corner .of said Lot 9, thence Westerly along the Northerly line of said Lot 10 herein above referred to 10 feet, thence in a direct line Southerly to the point of beginning, being the Southwest corner of said Lot 9. Said Easement to be for the benefit of and appurtenant to Lot 9 of the Second McAnarlin Tract hereinabove referred to, the lands of the Grantee herein and shall inure to the benefit of and may be used by all persons who may hereafter become the owners of any parts or portions of said appurtenant land. r RESIDENTIAL } ; (-640 240-048 PERMIT#97-1328 PERMIT NI BENNETT, Suzanne M. t 12351 Florida Ln., Durham PERMIT E) Coe Deck/MH ' OWNER CONTR. ASSESSOR PARCEL LOCATION 7 i i _ t r Temp. Power Pole Called PG&E Temp. Elec. Service j Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) t Signature V=OK O = Not OIC NotRel�ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-Ci"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'L'tL LLANEOUS 3. Decks; Girdersand/or Awn.; Posts-Beams-Rftrs.-Connectors / /Nat. or/ /L^ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses Date Card B-1 Date Card B-1 Date Cab B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easem2nts 2. Footings; Sine -Spacing -Marriage Line Date 3. Gas; MH Test DemandValoe-Connector Date 4. Electricity; MH TestCrossovers-Breakers-Clearances Date 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Penelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 11. Light Niche LLANEOUS 3. Decks; Girdersand/or Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rig.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplx�Decel-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Ske wDoore-Landings 12. Braced Wall, Panels Date Card B-1 Date Card B-1 Date Card 0-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Sods; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Penelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r = ott`Y O Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Fig., Main; Soils-Elec. Gmd. / P Fig. Depth Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill HgL & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width-Headroom-Rise-Run4.anding-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoAValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Ftg. Depth 4. Fig. Porches & Decks; SoilsSteel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 8's 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral p Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Os 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade_ 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. -Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill HgL & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width-Headroom-Rise-Run4.anding-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoAValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE# nIUM,fT OWNER PERMIT NO. .. qs. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. / S i.4//z v ov- Al 0 2/r- r aY•6��s/ 3 cy � �, -`T'o -lig e_ Q/ sin Date 3 �3HY10. V Inspector REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541:�r..� PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Com/ — ASSESSOR PARCEL NUMBER 040-240-048 ZONING R1 BUILDING PERMIT OWNER SUZANNE M. BENNM TELEPHONE 2<<'-1966 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 983, DURM CA 95938-0983 SO COV 1 040. CONTRACTOR'S NAME: 51M TELEPHONE ' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHrrECT OR ENGINEER UCENSE NO. —Filing Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 17.55 BUILDING ADDRESS 2351 FLORIDA LN., DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ 64.55 LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeYff, Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition3M Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: nnVP.ttR.D DEE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service EOOV OR LESS OR zooA LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t00oA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.52FT; ►Nio .ESIDT MULTI-OUTLR.ET1. 97,50 POWER APPARATus b SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 @ I'00 SAL ® .50 Ex. Occup. D E s AFIXEso) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 i Misc. Wiring 23.00 r PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / IX X hV�1: /! l it i1 (_ Date ee- _ Sign ure of Applicant - Owner ❑ Contfactor ❑ Agent AnSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 64.55 :.AZ. D. FEES IMP r FLOOD CDF PARCEL PD HD SU V� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for Which fees have been paid. By ! .l.G'� Date PERMIT EXPIRES ON 17 -17 " 9 I Dare Receipt No. zy;dL 12 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 �y E MIT NO. (Rev. 12/96) APPLICATION AND PERMIT /. ASSESSOR PARCEL NUMBER 040-240-048 ZONING R1 BUILDING PERMIT OWNER SUZANNE M. BENNETT TELEPHONE 898-1966 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 983 DURHAM CA 95938-0983 80 COV 1 040. CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 27.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 17.55 BUILDING ADDRESS 2351 FLORIDA LN. DURHAM Energy Plan Checking Fee $ $ PERMIT FEE $ 64.55 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeXI Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ CBVHggD pgC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Filing Feel 20.00 Main Service O..A OR LESS noon OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( a Acc. Bins. So 3.5¢FT: NEW CONST. MULTI -OUTLET NON-RESID. C 1 LI 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES 20 Q 1.00 sAL p .so Ex. Occup. ouTLEEDrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and' agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith comply with ose provisions. X _ Date �' _ Sign ure of Applicant - Owner ❑ Cont actor ❑ Agent An SHA permit is require for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 64.55 HAZ. D. FEES IMP _. Z� FLOOD CDF PARCEL PD HD SS This permit is hereby issued under of the Butte County Code and/or indic b for, hich fees have a By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date qT — 7 — / y Date Receipt No. 222272 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ...-�rr+`-•Y-�.,f7, �'.1,.: ,. � " . )�N?-. rX .Fj, ,• a w'13"�' ..,� `yi'' '.^V',t'„ fY;"i t!..��.fii..A�i'`Cy,i W.,.**...rr�yl 7*+y r...+t' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ION „ n 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 'l ,11 OWNER:. 6- SESSOR PARCEL NUMBER: --Z-�� " V q4' Proposed Building Use: Building Inspector: Date: 2 At time of permit application, I was advised the following data must be submitted prior to permit processing a d/or issuance: Date Received By All items have been submitted.------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature,on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documdntation.------------------- ul-------------------------------�-- ' ❑ 7. Statement of Intent for Non -Heated and AIC Buildings.--------------------------------------------------------- �. ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- �"V❑ lod elevation certificate. ------------//-''--------------------------------------------------------------------------- 60 Sanitation and plot plan approva<__# / c.CIealth Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). --- 0 22. Workers' Compensation carrier and policy number. -------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ----- 024. Letter of signature authorization. ------------------------------------------------ 0 2 5. ----------------------------------------------.❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------------- ❑26. Letter of intent on building use. -------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------------. ❑28. Existing violations and/or expired permits. ------------------------------------- ❑29. 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ D30. Other: V _ (Date) When you iss74M proce s follows ❑ Mail to owner, ❑M� i/t to contractor. ❑Telephone �� � and hold for pickup at � f yt CU office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air on Date:By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date_ By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data b� ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Build* n vision counter, by Date: Plans reviewed by: Date: Plans approved by: p Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. . T TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Plot Plan Attached Xt-s_ Floor Plan Attched-�— Sent to B.D. --SL4���1= 3 ��7 % S/ ac,2IDA LN2,dArr 0alb -21,% Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for 2< - daveWtng, Other L e2Q 17P /6 "x S 1 Hold final for: Final clearance O.K.'for: NOTE: Environmental Health Specialist 8/96 ^3v --9--1 Date O.B.- I Attention Property Owner: An "owner. -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. SIGNED: PROPERTY OWNER: SOCIAL SECURITY MBER:: DATE: CD" - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Mav 1995 2.26 I personally plan to provide the major labor and materials for construction of the proposed property improvement: YE" NO[ ]. 2. I HAVEN HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions' of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: • ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY MBER:: DATE: CD" - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Mav 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect. yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. 1 If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an, employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks ' are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained .by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. T Sincerely,. Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 -.77 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT '?7- 1-2S ASSESSOR PARCEL NUMEERqu 4 Z -q — /� 4400- G_(OWN�ST ZONING ^1 BUILDING PERMIT OWNEij� a� LFPHONE 80, FT. OCC. BUILDING VALUATION OWPERS I ADDRESS- /`,••IfL-11 w A _ DDRESS uV'AZWA C> CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER , UCENSENO. Filing Fee $ 20.00 Permit Fee $ - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ / SUILDINGADDRESS -re J'i,/M► _ L/�'`�_ Energy Plan Checking Fee $ $ PERMIT FEE S r LOT NO. SUBDIVISION'S NAME PARCEL MAP • PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF4d4upIex ❑ Mobilehome 9Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ID Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ,Mo2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certifythat in the performance of the work for which this permit is issued, I shall P not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 storiesin height. Main Service 200A TO 1000A 46.00 NEW CONST. owELUNo occuP. so OR ADONS. ( a ACU erns. 3.52FT. —=-C-07-ST. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE oLm Er cIR. Ex. Occup. OUTLET OR FIXTURES 20 Q I.00 aAL SO ' Ex. Occup. OuxTLeEOTs as o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ C/,,S HAZ. I D. FEES IMP FLOOD CDF I PARCEL I PD HDI ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By EXPIRES ON applicable provisions Resolutions to do work been paid. Date Da lel Receipt No. 1�lg al`i aPERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T 200' , Environmentatl=leafth:_;_ 180' JUN_ 2.5 1997-- Chico, 997.Chico, Calif omie~.,_ 160' - [---7777�Z.q� _ APPROVED - -- - - - - r-- Butte.-C t�tX Y X40'---- ---- ---- _...._ _ .._. r __ ._��.._ ._ �.--_---- -•-�- -- - ,-! -- � -- nv+ " tie aitfi-�-- e_1_ SO '120 tb .� , I' 7 �+ 1 • 1 100 1 " rr, 80, J.- qxll bp• . Rocc 2,7 D401 7 13 r 1 _ 1�..._ -. _. _ �3r io � I _-1--- •�. _ (jam `��0�� . T . :.. _.... Ikwe a _ .. .. 3o se}►.�ech _ Ir j 20'- 40� 0. 80 100'r . 140• �... 160' _ - . ,_ t ..._ __ _' ... �__ 1... I t-i$.Q� %I�--{ C�yO-o�wf?�-brig urhaw C"7 l�end ®V ®odd it is �.1a� out_ op oe Iob es or Q�at'ions on a ent of public -- on - cfi from® D3 — �xnAsaio ca A • _1�v�re � I �crs{-- LOIAPn 6" !bol 4Xy" Ler�g�� ►`+ � I � I ! ►OVER YMG _N12 A ' f to, %�e 3a js to b nOt ;'ca � part ! i I I if ! III It II i 14,X X00 J)44 N VARI E S 413 ' 13 N x L . 3 �m Z � s � 9 O 0 � 2 � r1 L I 0 b vo o C c m 1 CD 0 aCD � I M o D A E M �. ai s n 2 7 d q'i CO o N0 o A CA 3(0" MI 0 m P C m 2Q rrl 3 # N x x �. -z - - o 1 - x- -C 0 0 o o 48" a MAX. mn � • 7< 5 " -P m n� 3 x7 • r �— x W Q - Cn I U) o L N I I �n i • • // 34 a - - • /�/' HW)RML HEIGHT z nI iJ I MAX. 36''MIN. STA. fR rnW I DT4 R� T BUILD / 7. x RESIDENTIAL 040-240-048 PERMIT#96-0927 BENNETT, Suzanne 2351 Florida Ln., Durham Cont; Jerry MH Service Mobilehome Utilities 5"-4 —9' JOB FINALED (Date Signature V=OK - • • +a O = Not OK Not Applicable Not Ready OBILE HOMES Date MODWE HOME UTILITIES(Plans) OK except #'s Zoni Requirements - Setbacks - Easements oils; Speoi I MH Support Sketch 3i S tion -Test -Fall -C/O -Concrete Location -Test -Easement Needed (Sketch) . Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Ga;;Location-Test-Wrap; U 'L'ft. at. or/ /'L -ft./ /LPG .--?—Nell CIe ce & Disconnect ity Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILZ>tdME INSTALLATION (Plans) OK except #'s onin irements- SetbacksEasements tin srBfiSpacing-Marriage Line as,Qkl-Test demand Valve -Connector *ItFecjri ' , - Test -Crossovers -Breakers -Clearances ram Test -Fall -Flex Connector ShoWalp-101H Test -Regulator -Connector V-Vqater and Sewer Connected -C/O to Grade -HD Approval 8. Gasectricity Tagged e Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card BTW Date Card B-1 Date Card B-1 Date Card B-1 1 I DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s cr— MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size•Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric B. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings t i Date Card B-1 Date Card B-1 ;Date Card B-1 Date Card B-1 i Date POOLS (Plans) OK except #'s i 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- 17. Water Pipe: Test & Anchor -Nail -Protection -- -------------------- 18. O.W.V.: Test -Fittings & Anchor -Nail Protection --19. Shower Pan: Test. First Floor -Tub Access ------------------------ 20.-- - Test Tub -&-Shower,- Second - Floor -Tub Access ---------------------------------------------------------- 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection -------------------------------------------------------- ----- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ------ - - --------------------------------------- ------- 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------------------- --------..._.-...-- 25. Romex Installed Close to Edge of Studs & C.J. ------------- --------------------------------- I --------- ---- - --- - - - -- --- - - - . 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water -------------------------------------------------------- ----------- -- - -- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------------------------------------------------- - 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At 29. Range Circ. ga. Cu or AI -Oven Circ. i r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------ ------._..._. .. 30. Service -Riser Conductors & Ground -Main Disconnect -----------------------------------------------.................... ....... .... 31. Equip Clearances Panels-Motors-Mech. Equip. ------------ ----._. ------- ------- .. 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------- -- 33. Smoke Detector --------------- - ---- --- . -- ......................... ....... .......... .... .. Date Card B-1 Date Card B-1 - ---------......_..._.............. .................... ... ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------------ --- ------ .......... ............................ ... 35. Vent Fan: Exhaust above insulation ----------- -----------._ ------- __---....- 36. Condensate Drain & Overflow: Size & Grade ---------------- ----------- ....................... ..... 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet .............................. . -- --- - - 38 Attic Access &Platform f Furnance in Attic ------ ------- ---------- _-- .- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except O's 39. Sils. Proper Material & Anchors ....... ... _ - ... ... ... ........ ... ... ... .. 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... _.. ... .. .... ------ - ...... .. .. 41. Bearing Walls over Girders & Floor Nailing ............ ... ........ _ .._._..................._ ... .. 42. Draft Stop in Walls (rat proof) - -- -------.._. ... .-..... .._. ._..._.. .._ 43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub -----------..._. .-._.._ ..._. _ ..... .. 44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. CIng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. -------------- --- 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----- ----- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ----------- 51. Property Line Firewall & Openings 52.-Ext_Doors-One -T-Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------- 55. Siding -Nailing Veneer---- ----------- eneer_______ _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. -Insulation -Walls -Ceilings ----------- ----------------------- 60. Infiltration -Walls -Windows ----------------------------------------- - Date Card B-1 Date Card B-1 - - - -- --------------------- ---- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. .-------------- 62. Smoke Detector -- ------------------------- ----------- --- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ............ ------------------------- 64. Bedroom Exiting ---------------------------- 65. ..---- -- -----65. G.F.I.& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes &'Labels .................................. -------------------- 67. Stairs & Rails ... - - -------------------- ----------------------- 68. Fireplace or Stove: Clearances -Hearth ----------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. - ------------ ------------- -- --------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -- ------------------------------------ -- - 71. Elec. Outlets & Receptacles at Kit. Counter ...... ... ... .... .-. ------ -------------- ------ --- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper -----..------------------------------- ----- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ----------------------------------------- ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location .............. ------------------------------------ 76. ---------------------------------76. Elec_ Receptacles in Garage_ (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------- ----- 78. Guard Rails & Deck Construction -Post Caps . .... ...... ---------------------------------------------- -- 79. Fdn. Vents & Crav$l Hole Door -Drainage'& Wood -Earth Clearance Looked under Floor ❑ Yes ---------------------------- 80. --------80. Following instld s Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - 81. Stucco. Brown -Finish .. ... .....-......_...-- -I--------------------------------------- 82 A C. Unit: Disconnect. Electrical, Plumbing -- ------- - - ---------------- -- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . . . .. ............... _.........---.._..---------------------------- 84 Water Well: Disconnect, Electrical, Plumbing ------------------------- ------------- - 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground . .__ _.. ----------------------------------------- 86 Ventilation Throughout House 87 Glass Protection 86. Corrections `rom Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric ------ ------------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval _. .----._..-.-..------------------------------ 91 Energy Compliance Certificate -Other Certificates . .. - -- -- -- -------------------- Date Card B-1 Date Card B-1 -------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i v COUNTY OF BUTTE- DEPARTMENTrOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754? _,��� APPLICATION AND PERMIT �C� ASSESSOR PARCEL NUMBER 040-240-048 R1 ZONING BUILDING PERMIT OWNER SUZANNE BEIdNETT TELEPHONE 898-1204 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 983 DURHAM CONTRACTOR'S NAME JERRY A'II-I SERVICE TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2351 FLORIDA LN PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome C3X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Ublibes LX Installation O Other O Describe Work: 2 BEDROOMS Mobile Home 1§ 1911'XV @20.00 60. PERMITFEE 1$ 80,00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 20ov00A OR LESS OR LESS ) 2 23.00 23 . 0 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License 0a r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. OR ACONS. ( 8 ACC. ) so 3.5Q FT. NEW CONST. MULTI.OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 / SIPOWER APPARATUS 8 NGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL .00 Ex. Occup. (ou7iETA lit ISE ISE . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 9 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) X I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall orthwith com I with ose provisions. (� Date �L���L e ofAp Ilcant - llLOwner ❑ Contractor O Agent ?OSHA permit is required for excavations over 5'0" deep and demolition or construction over 3in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 166.00 HA2. D. FEES I FLOOD — CDF PARC PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By � PERMITEXPIRESON applicable provisions Resolutions to been paid. Oures Date.} % D ) do work –stories Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t�:�M^ „rr�,�/i: i,Jr.�.r ti.+�'a,►' ,.jh^�rf+./,-�'irr�Jrsd. •..-�-��.•r-.R-r.r'4 �5=n.'�'s: `,n�e7t.1 !i. ;.� �"t.t'��ts��.�„w }. r��t,�.�.rr-w•ti...rsir^..--,t^:R .. .r� •-- • - COU NTYOF BUTTE - DEPARTMENT OF DEVE LbPM ENT SE RVIC ES - BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,C/ O NIA95965-TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER '64 In �- t.k� o. 040-9 c D .r . Proposed Building Use Building Inspector Dated At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. 2:. DATE RECEIVED BY All items b been submitted. .. Plot plant,J'* sets, signed by preparer of plans. ........... 3. Complete plans, 3/4,sets, signed by preparer of plans ........................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. - 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome at an nufacturer's installation instructions, 2 sets. ........... Fees of $ ��to 11. Impact fees as shown on attached schedule . .............................. -112. 13. 14. California Department of Forestry plan approval/fees. ....... •................ . Flood elevation letter (100 year flo by California Engineer. . Sanitation and plot plan approvalHealth Department . ............ - 15. 16. City of Chico plumbing permit. ............................... . Plot plan and business license approval from City of Biggs/Gridley. ............. 17. 18. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. 20. 21. Driveway permit (construction approval required prior to occupancy). ..Pna"�e n . .or st Pre -inspection for required. . . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) ....... . ........ 22. Certificate of Workmans Compensation Insurance . .........................; Owner-Builder Verification (Given to owner Mail to owner _) . %*0q4' :::: : Recorded copy of Agricultural Acknowledgement Statement. .5. 26. 27. Letter of signature authorization . .......................... Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . .......................... _ .............. . 28. Mobilehome utility clearance ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ....... 31. Existing violations/expired permits . ................................ 32. Plan check list . ..................................................... 33 34. WtKyou issue the it �r�c ss as follows: Mail pQAner. Mail to contractor. TelephoneF and hold for pickup atu-+W office. Deliver with inspector. Other Parcel Creation Acreage �( / \Applicant WU"�t/ ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by" G / .9 rSa..is Date T -j!9-9 Z Sets of plans on hold in File cabinet z. AP folder Copy - Department of Public Works F.H. USE ONLY Hot Plan Altached TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP// Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance, for I�L— bedrooi mobile h me. Other Hold final for: Final clearance O.K. for: NOTE Env onmental Health Specialist. 8/92 Date COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt`Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 . CORRECTION NOTICE NIfr/- 196 — 05Z OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. V Date (0-1 0^Cj& Inspector REV 10/92 :a Date (0-1 0^Cj& Inspector REV 10/92 AP # OWNER SUZ&AW& PERMIT -It MH UTIL.CLEARANCE DAT INSPECTOR ELECTRICGAS Support Struc. YES I NO Compaction Test _Req. Service Size Other Load -Type Pipe Size Length YES I NO } CERTIFICATE OF AKC- HOR INSTALLATION Title 25 CCR Mobilehome Parks Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or during the installation, and were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. ., Tiedown System: Manufacturer: Model: Installed by: t 4Date: Contractor/Owner: 's ( k S icense No.: , �� ......,.. ...-;. .+ni�F+.yy'wa",yid'�i+'rnv>`•s`e�;.y�Nm.,�i+sr'e �^re IAit•e`wy.: V.; IiVM°�{J",� ai�XFJC£'f 'w'.•b -11 � .. C°OU N,TY OF.BUT -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION e ,J 7COUNTY,4 TER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PER T APPLICATION DATA SHEET OWNER AAO% �a��0-O�{S' Proposed Building Use\ i Building -Inspector Date At time of permit application, I was advised the following data mugt—be submitted prior to permit processing and/or issuance: \� _ DATE RECEIVED BY \� 1. All items have been submitted. .......................... -t-- 2 � Plot plans, '3/4�sets signed by prepapk of plans. ...... ^tel Complete ala s„f3/4 sets, signed -15y preparer\of.plans.- `:..........l......... . 4. Engineered ans and dales, 3/4 sets, with -wet signature,,on plans. 5. Hazardous Material Form . ............ ...... . 6. Energy Design Compliance and supporting documentation. ........ . 7. Statement of Intent'for Non -Heated and A/C -Buildings. Engineered trus-s details and layout in duplicate (r`equired prior to plan check). .... Mobilehome c� anted_ anuf turer's installation instructions, 2 sets. 7— 1 G Fees of $ 1 `} `�. —_ 11. Impact fees as shown on'attached schedule................................� 12. California Department of For stry plan approval/fees. ....................... . 13. Flood elevation letter ar flood) by,California Engineer . ................. . 14. Sanitation and plot pla proval---, Health Department . ............ i 15. City of Chico plumbing, permit.,,-,. . `..... ' 16. Plot plan and,•busine'ss licenpQ approval from City of Biggs/Gridley. 17. Planning-hp-piroval for (A) Use: (B) Parking: 18. Contact Land Development a - out (A) Improvements (B) Drainage. ......... . 19: Driveway permit!(consflructiefi appr val required prior to occupancy). .. .. .. . 20. Pre on for required. .. o e�°,a g lnspedo� (Date) 21. Contractor's licensNnf&mation. (Nc., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _� ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................ . 25. Letter of signature authorization ......................................... Copy of recorded deed -of parcel creation and 60 right of way to a public road...... . 2 . Letter of intent ori building use . .......................................... . Mobilehome utility clearance . ............................................. " 29. Documentation of legal access. ' ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed. and (B) Parcel meets zoning area and frontage requirements. ............... Existing violations/expired permits . ....................................... Plan check lis ............................................. A When you issue the e,,((mit pr cess as follows: M 't� aw er. Mail to contractor. _ Telephone r -l�0 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant tt� Date /3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone_ mail Count � by'"", Date Contractor;'designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by G ( GS ri Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY 1'10, Plan Auaehm l V h.� fluor 1'I:m Auachcd Sem ,,, is. u.� i4 . U qo aclD - b( -/F � eaz��Haok Ln qgr 1-7d2 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for )= bedroom mobile home. Other iffsij - h Hold final for: Final clearance O.K. for: NOTE: vironmenta Health Specialist E:�L� 6 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 PROPOSED BUILDING USE SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building. Division) Residential. . ..... x =$ unit amt. Commercial (sq.ft.). x 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). / x #units amt. W A.P. # DATE REC. # DATE REC Commercial (sq.ft.).. x =$ /�� sq. ft. amt. L/ 4. RECREATION DISTRICT FEES Do-rr' (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND -PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE ALL STRUCTURES AND EQUIPMENT INCLUDING 0VEpJJVM SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF S FT. FROM THE -SIDE AND 180' i_5__ FT. FROM THE REAR PROPERTY LINES AND FT* FROM THE ROAD CENTERLINE SHALL 13E OFSTRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. 'Tbia set Of Plans and Specifications MUST be kept on the job at all times and it is unlawful to ra&k6 MY oranges or alterations on same without written permission from We Department of publit; Works, County of Butte. 160' .,7 Z. NOTE: All : Materials & Workmanship Shall Be In Acdordance with Recognize Pee "So]lea r7 of a Quality Prescrb' cifted use - in the Uniform Bit 140' lltlgipiti4n ib1ag& Mechanical Codes and the Nation Code. ELECTRICAL, MECHANICAL, P PL. MBING OMSTRUC11ON NOT P - N (f',HECKEWD SHALLcomny WITH CUR EN t OF NEC, UMC AND UPC. 27 100" <1 Qj -7 80, M0, 101 �i .,6 � I I. I .. M 60' %.Z i . - ' 2.'7 X J-/ 3 - 40' 20' 20' sky vt,-,ed I APPROVE E"rO6 utte Co ..nrrientaunty #12 1 Health ate. slgneture'L4?__ .30 se:L":. -a 4of 0—L 80' .1100, L I C IE COUNTY'.. IG DEPARTMENI PA SD ((8 Ici-OPY 140' 160' Mobilehome Manufacturer:u Fm&L 4- U014`�* 'Manufacture Year: If other than single wide, furnish Setup Model Number: 17o A Width: "(ft.) Length: 2' 8 (ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. ` FOOTINGS: Wood pressure treated or foundation grade[ ac] Other: SUPPORTS: Concrete block[ A Other: Provide Tie Down Specifications for all Mobilehomes: 4AESCD Cnm8 iA(AT lan/ Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................. Main Beams Line2................................................................................................ ine 2 Line 1 Line 3 Line 2 ....................................................:............. Main Beams ................................................................................................ Line 2 Line 1 .................................................ine 5 Tag or Triple ine 4 Pinel Line 1 Piers: Size minimum: r 1 x Spacing maximum: 1 4` From ends -maximum: ` Line 2 Piers: Size minimum: [ 1.21 x [301 Spacing maximum: 5 ` O` From ends -maximum: / ` p ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side .of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` j2yzeyl x 3bx3o 2yk y x30 I 2yX2 d ' 2'8 1 ly's"Iery"I 3018„ EN6 OVER 715 1. .Owner's Name: 5 u zA.,kv F- 13 F E r- 7- 2. 2. Assessor's Parcel Number: l� yd - 2 y0 - TJ.y 8 3. Installer's Name: TE R2j 4/WSow 4. Is the site currently under permit? Yes[x] No[ ] Permit No. 96- O 927 5. Is the site an existing site? Yes[ ] No[K] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? l 0o Amperes. 7. What is the mobilehome site circuit breaker rating? k0o Amperes. 8. What is the electrical rating of the mobilehome site? 1 6 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? 10,0 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[?<] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ K] Propane[ ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3/y ' ' inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? y5 (ft.). 14. What is the mobilehome gas demand? tOlo ` o0o B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS.THIS PERMIT APPLICATION May 1995 8.5 a "iL . QCs F/o r• i J DOMENIC'S SEPTIC SERVICE , , . UNDERGROUND CONSTRUCTION SHEET NO. OF California Llc. No. 631383 7J P.O. BOX 999 CALCULATED BY DATE DURHAM, CALIFORNIA 95938 ( CHECKED BY DATE 916) 345-1585 j PEXMIT- P-EakleFt� s i COD - 7-. �-u b� m c ad , M4 Wo -2 -ICA / .�.. JOB DOMENIC'S SEPTIC SERVICE SHEET NO. ��of California Lic. No. 631383 CALCULATED BY DATE P.O. Box 999 DURHAM, CA 95938 CHECKED BY DATE (916) 345-1585 SCALE ENVIRONMENTAL HEALTH APR 18 1996 Chloo, Callfomla 1,PR n 11996 Ctifco. Cal OMla 14- 4. s11-7 /Doi XCX,?�'X bpi APPROVED Butte County ronmental Health xd1s�2}1�'�� _ Date Signature -- I MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF -DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: o 4 L) -?ci o PERMIT NO.: Owners: SF11,1A.1,011r1 7-4,01V rL Name: Owners: tz Address: Mobilehome KALA-PA'4"q �11 gwo/4-0 Year of Manufacturer Manufacture: Serial number 8-3 z Insignia or F 5 orV.I.N. 14 A 63 L 8)C1 HUD numberP 9 Official approving installation:Dale: Z7 !� If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 I White -Owner, Yellow -installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 //,_/ PERMIT, NO. APPLICATION AND PERMIT �([�---�1���/ ASSESSOR PARCEL NUMBER 040-240-048 ZONING R 1 BUILDING PERMIT OWNER SUZANNE BENNETT TELEPHONE 898-1204 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 983 DURHAM CONTRACTOR'S NAME JERRY'S MH SERVICE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS �`- J FLORIDA LN PERMITFEE $ 43.00 DURHAM PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation X] Other ❑ Describe Work: — Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 600V OR LESS ( 20.A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No.FIXED OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, ,s will do the work, and the structure is not intended or offered for sale. @� I, as owner of the property, am exclusively contracting with licensed contractors 1 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. so. OR ADDNS. ( 3 ACI-. BLDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( a POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 ® i.ao ) Z BAL 0 .50 APPLNS. OR Ex. Occup. (OUTLETS (RES D.) EA) 5.00 Temporary Service 23.00 D Mobile Home Facilities 20.00 MiscWiring . 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Co ntractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) KI certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code,' I shall forthwith comp w' h,t ose provisio 4 X �y � Date _ -�— ure of Applicant - 01 -.Owner ❑ Contractor ❑ Agent SigFtrsuctures AnHA permit is required for excavations over 60" deep and demolition or construction of over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee is OCC CONST. TYPE I TOTAL FEE $ 143.00 HA2. I D. FEES ,� IMP FLOOD r- CDF PARCEL PD HD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �p BY Date %� � `+' ��� 71111& PERMITEXPIRESON (Date Receipt No. 202013 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS IMPACT*EE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number oq0-;yp.Q_" , Jurisdiction: 0, City County &A�o Property Owner o /.'� A Property Location/Address (\M Subdivison Lot No. Residential Development0 Sq. Footage No. of Living M I Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) 3 wilding Department R resentative Date (Floor Plans reviewed by School District Personnel) 1 District Identification No. %/10 8 D0AhA-n i PW i F-1 t_b School District certifies that .5UE &7—)a °7T' (Applicant) **� 35 / 0*1_0e 1,a,4 ,L A-rn E (Street Address) (Phone Number) .D v,e � CA 9s93� (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9V-5 by payment of $ representing 4� 3-0- square feet. As 2926 $ FULL MITIGATION $ p/ School District Representative Date Paid by Chec Bank Number Paid by Cash Remarks: OS/ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEOA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm BUTTE COUNTY -PARK FACILITY"Pte-PAYMENT CERTIFICATION FORM DURHAM RECREATION MD PARK DISTRICT Assessor Parcel Number (s): Q qn Property Owner (s): p/h1Y� Project Location/Address: 5 � QQl2;�a4CX- Subdivison Name: Type of Residential Development (check one): Assessable Square Footage: 12,3Z New Development U Afteration/Addition Qi Mobile Home (s) ❑ Non -Residential to Residential Comments: Building Division Representative,. Date yy }i Durham Recreation and Park District (DRPD) certifies that Q�sf 1 [2. V -0 '-;6t - �q� Applicant Name Applicant Pho�neJNumber 1 Street Ad ss OAL'I'A OA City. State Zip Code has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for square feet at $ 1.04 per square foot for a total payment, Of $ 57-6 /Z , , ) S - DRPD' eprese tive Date PAID BY CHECK No.:. Remarks: r7o��fi» ✓� �� m,.Q BANK No.: o-r,u ay, Q �_nc ani m." �l� PAID BY CASH: QA RECEIPT No.: DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION DOMENIC'S SEPTIC SERVICE UNDERGROUND CONSTRUCTION California Lic. No. 631383 @i'46 Box 999 P.O.DURHAM, CALIFORNIA 95938 (916) 345-1585 JOB ' Flor I u Gtr SHEET NO. OF _ CALCULATED BY DATE CHECKED BY DATE SCALE 1 2 3 , 5 6 7 8 1 2 3 , 5 6 7 5 1 2 3 1 5 6 7 8 1 2 3 . �5 6 7 8 1 2 3 a 5 6 7 8 1 2131 �e1.n .. 2 3 5 8 7 6 1 2 3 ` U STRUC; tURESS AND EQUIPMENT INCI_YDIn, -f • - PIP # y b -2 y q OVERHANGS SHALL BE CI- OF--ALL-EASEMift A SET BACK OF S FT. FROM THL SIDE AND k5 FT..F-ROINI ni IA PROPERTY LINES AND Zo FT. FROM THE ROA CLEAR OF STRUCTURES AND EQUIPMENT EXCEOT FOR A 2 FT. EAVE OVERHA 40. b� moved, GA � �Q - a,t QA-rN �QQ���6`a , No • A permit will be required �r46 installation of the MoWlelv m4L10 •�� Chico ' Califorhia This set of plane and Speoif MMT be _ apt on the job at all times d t is unlawful to i make any changes or alterati on same without written permission Ecom the De ent of Public orfs, County of Butte. NOT E: All Materials & workir ans Shall Be In ����' / ccordance with Recognized od actices and �rNG ea a � f a Quality Prescribed Spec ed use BUILDDEPARTMENT the Uniform Building, ing Mechanical des and the National E ect cal Co e. R ®� ED y, b i COPY PROOWT 207-QInc..Gm!w. Mm. 01/71. T6 Order PHONE TOLL FREE I -M225 -M 200 3 180' f 160' • t � � Sed b �� �`� _ r . 140' 120' / 11 2v X.27 i. r• _ • • ; ` , 100.1. I• _ �� �� Cris ;�; - _ �.__ :. ___ E+ 80' _ fes. , L n e.s� moc. � COC � 1 •2 � 1 .3 x � � �;s� 1. � ► � �;: ; � . z% X 5 j I i� �V)`'..; k�'x k3 fled , I — — — ' �20" . _ .. 40' 80' +. 100' ' ijLLL 140 SL t 160' PERMIT NUMBER - B 1799-73B P lj � E 1 PERMIT EXPIRES OWNER Ernest Garner }I-- CONTR: Owner - }� LOCATION (A.P, 40-24-48 � C 239 Florida Ln., Durham 9t 7 t {i, Zoning Foundation Rgh. Plumbing Rein. Steel_ Framing Wtr. Htr. Firewall ELECTRIC Temporary _ Final DATE COUNTY 0-F BUTTE " Department of 'Public Works BUILDING INSPECTION RECORD Setback Forms Piers & Girders 'Fireplace Bond Beam Lath & Plaster_ Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent _ GarageVents Sanitation & Water GAS . BUILDING Temporary Cert. of Occup. Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPAR.T,MV NTOF PUBLIC WORK ,���? 7 County Center Drive — Oroville, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT �+ icc icNiwcntau vas of the Uounty of Butte to enter upon the above-mentioned property for inspection purposes. X��•sc�/ Date Signature of Permitee or Agent Receipt No.1L_) % � © 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Building permit expires Date BUILDING Owner' SQ. FT. OCC. BUILDING VALUATION Mailing Address a "" irew LS `— Tele hone No. Z� 3 Fireplace Contractor Total Valuation Mailing Address S, Permit FeePlan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address _ — PLUMBING No.1 @ FEE PERMIT FILING FEE J$2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ Z '� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W SaPA64in& Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Plans Parking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 �tda Plan R �'a Parce).Appravol Plan' royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 w G Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol_ X10 Receps., switches & fix outlets Z07d25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ eo �+ icc icNiwcntau vas of the Uounty of Butte to enter upon the above-mentioned property for inspection purposes. X��•sc�/ Date Signature of Permitee or Agent Receipt No.1L_) % � © 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Building permit expires Date And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 96 0050291 Rec Fee 12.00 , I I COP 2 00 Recorded Official Records County of Butte Candace J. Grubbs Recorder 2:16pm 7 -Feb -96 I Cash 14.00 I I ' i I PUBL XX 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT \ Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte. State of California. described as follows: Zi e" .e� �oi Date: � - %— 16 PROPERTY State of California ; County of `76� On 4before me, personally appeared {1,; Uaewa-te-we (or prove to me oigthe basis of satisfactory evidence) to be the person(*) whose name 64 is/*M subscribed to the within instrument and acknowledged to me that 4Wshe/4h" executed the same in 4*+s/her/bWs w authorized capacity4cwo), and that by #is/her/Aheix signature(*;) -on the instrument, the pers LQ ch ty.,WLonb. ► f of which the person44 acted, executed the instrument. LAURIE CARROLL WITNESS my hand and official seal. Commbdan010763V I 4&mVC0MnLbVhMOCt2Q.IM Notary PtAft — Oallawria Butte Signa re Seal: A.P.# vqlo-ago-DWI r_� VOTE TO RECORDER: DO NOT RECORD THIS SIDE Instructions for recording Agricultural Statement of Acknowledgement: FIM 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ( The description may be handwritten or typed in the space provided or attached on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a m. - 3:00p.m. (Monday - Thursday). .V + ot��El .,�✓ �: WQ;,92too tr*b IX3 .mrs. n 'j,— .:r�>=OVER s '9 6 - 05.0 2 9 Order No. 2-171647 Exhibit "A" The land referred to herein is described as follows: All that.certain•real,,property situate in the County of Butte,"' State- of California,•described as follows: Lot 9, as shown on -that certain Map entitled, "Official Map of the Second McAnarlin Tract, being part of Lot 1 of Franklin Sub.", which Map was recorded in the office of the Recorder of the County of Butte, State of California;,on December 3, 1926 in Book A of Maps, at page 18. EXCEPTING THEREFROM•the`following described parcel of land: - COMMENCING,.at a_point at the center of the line between Lots 8 and 9 and extending 'Northerly ;to' the -•Northeast oorner•of Lot 9; thence" Westerly along the; South line of Florida Lane, .a distance of 10 feet; .thence` Southerly to a_point:of'beginning. AP No. :040-240-048 'Y''`✓ff, T 96-05029 Easement Deed-- Legal Description EXHIBIT"All The land referred to herein is described as follows:_ _ All that certain real property situate in the County of Butte, California, described -as follows: State of An encroachment easement for an existing garagef";and-maintenance.thereto, and an easement for ingress and egress over and across the following described portion of Lot 10, as shown on that certain Map entitled, "Official Map of the Second McAnarlin-Tract being part of Lot l.of Franklin Sub.", which Map was recorded in the office of the Recorder of the County of Butte, State of California, -on December 3, 1926*in Book A of Maps, at page 18. Beginning at the Southwest corner of Lot 9:'Of-said Second rMcAnarlin'Tract herein above referred to, thence'Northerly along the Westerly line of said 'Lot 9 and the Easterly line of .Lot -10*to the Northwest corner -of said Lot 9, thence Westerly along the Noftherly`line`'of said Lot 10 herein above referred to 10 feet, thence -'n"" direct line Southerly to the point of begginning,.-,being the Southwest corner of said Lot 9. Said Easement to be for the benefit of. and appurtenant Second McAnarlin Tract hereinabove referred tothelands ofttheoGrantee herein and'shall inure to the benefit of and may be used by,all-:persons• who may hereafter become the owners of an `� appurtenant land. Y Parts,`or portions;of said END OF DOCUMENT 96-0050291 Rec Fee 12.00 COP 2.00 Recorded I Cash 14.00 And when recorded mail to: Official Records I Building Division County of I #7 County Center Drive Butte 1 Oroville, Ca. 95965 Candace J. Grubbs I Recorder I 2:16pm 7 -Feb -96 I PUBL XX 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including. but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte. State of California, described as follows: Date: � - %-- 16 State of California County of�� On before me, NT9 1 Xi t-- (�tti JJ RS: personally appeared lk Sewall-' knewa4Q.we (or prove to me oiVthe basis of satisfactory evidence) to be the person(*) whose name(o) Wave subscribed to the within instrument and acknowledged to me that.fro/sheAh" executed the same in 4is/her/4hak authorized capacity4eq�, and that by iris/herAheie signature4 -on the instrument, the pers L&I ch aom hehAf nf whi h the person44 acted, executed the instrument. LAURIE CARROLL WITNESS my hand and official seal. Commbslan410763V .� Notary Pubne — Cogfornto ' Butte ' My Comm. 6cplCountyOct29.1� Signat� i re Seal: -X.P.# 0 �'l� ;p Yo.- D (��l ., Order No'. 2-171647 Exhibit "A" The land referred to herein is described as follows: All that'certain*real property situate in the County of Butte,"*State'of California,'described as follows: Lot 9, as shown on that certain Map entitled, "Official Map of the Second McAnarlin Tract, being part of Lot 1 of Franklin Sub.", which Map was recorded in_the office of the Recorder of the County of Butte, -State of California,.on December 3, 1926 in Book A of Maps, at page 18.' EXCEPTING THEREFROM the following described parcel of land: COMMENCING.."at a point at the center of the line between Lots 8 and 9 and extending-Northerly._*to..the_Northeast corner`of Lot 9; thence -Westerly along the_ South line of Florida -Lane, .a distance of 10 . feet; .thence; Southerly, to °a . point :of beginning. AP No. .040-240-048, Easement Deed-- Legal Description EXHIBIT "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: An encroachment easement for an existing garage and maintenance thereto, and an easement for ingress and egress over and across the following described portion of Lot 10, as shown on that certain Map entitled. - "Official Map of the Second McAnarlin Tract,.being part of Lot l.of Franklin Sub.", which Map was recorded in the office of the Recorder of the County of Butte, State of California, -on December 3, 1926'in Book A of Maps, at page 18. Beginning at the Southwest corner of Lot *9.of-said Second McAnarliri".._Tract herein above referred to, thence Northerly along the Westerly line of said 'Lot 9 -and the Easterly line of .Lot 10::to the Northwest corner .of said Lot 9, thence Westerly along the Northerly'line`'of said Lot 10 herein above referred:to 10 feet, thence in a direct line Southerly to the point of beginning, -.being the Southwest corner of said Lot 9. Said Easement to be for the benefit of -and appurtenant the Second McAnarlin Tract hereinabove referred tothelands ofttheoGrantee herein and shall inure to the benefit of and may be used by.all--persons who may hereafter become the owners of any Parts appurtenant land. _:or portions of said Eatte Count W isA1.T1-1 AP,ID BEAU'i Y L��r-aD QI� i,.lArl)kF�L DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ❑ 18-B County Center Drive1469 Humboldt Road, Suite 100 ❑ 7 County Center Drive Oroville, CA 95965 hico, CA 95928 Oroville, CA 95965 TEL: (916) 538-7282 TEL: (916) 891-2727 TEL: (916) 538-7281 FAX: (916) 538-2165 FAX: (916) 895-6512 FAX: (916) 538-2140 April 17, 1996 Domenic's Septic Service P O Box 999 Durham, CA 95938 RE: Septic System Permit Transfer Request-; B ne nett Property, 239 Florida Ln., Durham; APN=04-0=24,0=04-8----� Dear Anita, The request to transfer the permit to you on the above indicated property has been reviewed. The existing permit is void as ownership has changed since the permit was issued. The revised plot plan submitted on April 1, 1996 has been reviewed. The plot plan shows the proposed mobile home to be less than 5' from the property line. The side yard setback is 5'. Prior to issuing the permit transfer the following is necessary: Provide verification that the proposed mobile home location is acceptable to the Building Division. If you have any questions, please contact me at the Chico office listed above between 8 and 9am, Monday through Thursday. Sincerely, lJ Ii da L. White, R.E.H.S. Division of Environmental Health FLW/dd/septic/bennett cc Building Division Suzanne Bennett, P O Box 983, Durham CA 95938 enclosure A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW DOMENIC'S SEPTIC SERVICE California Lic. No. 631383 'a P.O. Boz 999 DURHAM, CA 95938 (916)345-1585 JOB FA SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE SCALE / = �P;� 410- 2c/ I � I sV— — I 1 � (I .0 I T � 1 (✓�P� A Q P ! bl A 'g bpi EXy1R0�iN�'r.'.tz: T `. ;itiJ►lhl I 4 �_ ``�_ . � _ �vuv � a...r�r o,,. �-.�.1` OR Ctifco� Calwomia N �o �ti FA BUTTS COUNTY BUILDING DIVISION, APPROVED 32,